Goals - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Goal Setting
Achieves goals.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Builds and maintains the trust of others.
Demonstrates a sense of responsibility and commitment to public trust.
Works in a way that makes others want to work with her/him.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds alliances between departments and teams.
Promotes the understanding of how the department affects the organization overall.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Partners with peers to obtain influence within the Company.
Creates the conditions for partnerships to grow and develop.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands complex issues and problems.
Applies the knowledge of work processes to influence the achievement of business goals
Asks the 'right' questions to size up or evaluate situations.
Considers impact of actions on other areas of the organization.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the processes and various stages of business development.
Maintains a high level of energy to respond to demands of the job.
Seeks and utilizes mentors to help guide professional development.
Able to adapt the department to changing business demands and climate.
Takes the initiative to complete tasks.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Persuades others to follow the Company's vision.
Leads employees in new directions.
Communicates a vision of where the Company needs to be in the future.
Creates a positive vision of the future for the Company.
Demonstrates consistency between words and actions

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.